Provider Demographics
NPI:1487668950
Name:NAKANO, SACHIKO (MAC LAC)
Entity Type:Individual
Prefix:MS
First Name:SACHIKO
Middle Name:
Last Name:NAKANO
Suffix:
Gender:F
Credentials:MAC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7217 S TAFT STREET
Mailing Address - Street 2:ONE HEART HEALTHCARE LLC
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-2627
Mailing Address - Country:US
Mailing Address - Phone:206-579-7454
Mailing Address - Fax:206-772-4703
Practice Address - Street 1:7217 S TAFT STREET
Practice Address - Street 2:ONE HEART HEALTHCARE LLC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-2627
Practice Address - Country:US
Practice Address - Phone:206-579-7454
Practice Address - Fax:206-772-4703
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA242171100000X
WAWA242171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty